Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AThirst after a long period of fasting before a test
2. BWorry about body image after a mastectomy
3. CFear of slipping in the shower
4. DMissing friends from home

Which task is appropriate to delegate to a nursing assistant?

1. AAssessing a pressure injury on the sacrum
2. BFeeding a patient with newly diagnosed dysphagia after a stroke
3. CGiving a stable patient their oral medications
4. DFeeding a stable patient who has no swallowing problems

Which drug reverses the anticoagulant effect of heparin?

1. AAtropine
2. BProtamine sulfate
3. CNaloxone
4. DVitamin K

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AA history of high blood pressure for ten years
2. BForgetting to take the blood pressure tablet this morning
3. CMild anxiety about the high reading on the monitor
4. DNew chest pain or confusion suggesting organ damage

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. ARaise the head of the bed, give oxygen and call for urgent help
2. BGive the next dose of oral analgesia and reassess the patient in an hour
3. CEncourage the patient to walk to improve the circulation
4. DMassage the patient’s calves to ease any muscle cramp

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BStay with the patient and coach slow, calm breathing
3. CGive oxygen at the highest flow and leave the room
4. DGive IV sodium bicarbonate as soon as it can be found

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. ASit with the legs crossed to improve blood flow
2. BKeep the legs raised above the heart as much as possible
3. CKeep the legs level or slightly lowered, not raised
4. DWrap the legs tightly with compression bandages

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AThe patient in pain after surgery
2. BThe patient whose call light went on first
3. CWhichever patient’s room is closer to the station
4. DThe confused patient climbing out of bed